Individual
MATTHEW KAMPHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6805 MAIN ST, THE COLONY, TX 75056-1136
(972) 370-1006
Mailing address
6805 MAIN ST, THE COLONY, TX 75056-1136
(972) 370-1006
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
18980
OK
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
67712
TX
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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